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General NPI Number Information
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NPI Number | 1528953684
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Entity Type | Organization
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Legal Business Name | LITTLE STARS PEDIATRIC CENTER LLC
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 3301 PLAINVIEW ST STE 10
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City | PASADENA
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State | TX
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Zip | 77504-1927
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Country | US
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Telephone | 786-389-2248
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 PLAINVIEW ST STE 10
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City | PASADENA
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State | TX
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Zip | 77504-1927
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Country | US
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Telephone | 786-389-2248
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CARLOS RUIZ
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Credential | PA-C
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Telephone | 786-389-2248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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